NPI | 1740631936 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 61063054) |
Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: WA 60684412) |
Enumeration Date | 2016-06-29 |
Last Update Date | 2021-10-21 |