| NPI | 1225383441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133NN1002X Nutritionist Nutrition, Education (Licence: WA NU60300928) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LH60498747) |
| Enumeration Date | 2012-07-14 |
| Last Update Date | 2014-10-08 |