| NPI | 1861865628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60620147) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA NU60492812) |
| 101YM0800X Counselor, Mental Health (Licence: WA MC60492834) | |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2022-09-29 |