| NPI | 1295111847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60569464) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA NU60571006) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2015-08-06 |