| NPI | 1417267022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 61466486) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2023-12-05 |