| NPI | 1588875918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI00000228) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF00001497) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2025-09-11 |