| NPI | 1922647890 |
|---|---|
| Former Name | KATELYN MARIE BOYD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: WA NUTR.NU.61088083) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-12-24 |
| Last Update Date | 2020-12-07 |