| NPI | 1336682996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60890017) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA NU60678958) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2019-02-13 |