NPI | 1922647890 |
---|---|
Former Name | KATELYN MARIE BOYD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI61513231) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
133N00000X Nutritionist (Licence: WA NUTR.NU.61088083) | |
Enumeration Date | 2019-12-24 |
Last Update Date | 2025-09-09 |