| NPI | 1679187009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61090290) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA NU61089256) |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2021-03-17 |