| NPI | 1972069029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY60902082) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA NU60176199) |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |