| NPI | 1487830378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CL61079147) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA NU60039905) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2023-03-23 |