| NPI | 1548616808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60684347) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60426770) |
| 133V00000X Dietitian, Registered (Licence: NV 1001477) | |
| 133V00000X Dietitian, Registered (Licence: WA DI60551080) | |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2022-06-02 |