NPI | 1760935225 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60896241) |
Additional Taxonomies | 133N00000X Nutritionist (Licence: WA NU60681981) |
Enumeration Date | 2016-08-01 |
Last Update Date | 2018-12-05 |