| NPI | 1386217529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA MC61353784) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61167988) |
| 133N00000X Nutritionist (Licence: WA NU61353807) | |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2024-09-16 |