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 |