| NPI | 1336388925 |
|---|---|
| Former Name | ELIZA CARLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60196405) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA NU00002004) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2025-01-22 |