| NPI | 1992182950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH61182147) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP60308261) |
| 133N00000X Nutritionist (Licence: WA NU60927849) | |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2024-07-08 |