| NPI | 1700399847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 60999079) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 133V00000X Dietitian, Registered (Licence: WA DI60788419) | |
| Enumeration Date | 2017-11-12 |
| Last Update Date | 2022-08-10 |