| NPI | 1316243066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60500475) |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education (Licence: WA NU60243970) |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2015-05-06 |