| NPI | 1760790331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA 61182113) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL 19170) |
| 133N00000X Nutritionist (Licence: WA 61170457) | |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2023-04-28 |