| NPI | 1447591847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: WA 60323920) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LH60565550) |
| Enumeration Date | 2013-03-09 |
| Last Update Date | 2017-02-02 |