| NPI | 1891537098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MHCA.MC.61671576) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA NUTR.NU.70016526) |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2025-09-08 |