| NPI | 1326415720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60848403) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA NU60681879) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2019-11-10 |