| NPI | 1417328691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA MC60311548) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA NU60311487) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-10-13 |