| NPI | 1760937916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA 61115619) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 60855669) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2023-05-22 |