| NPI | 1073034187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111082) |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133V00000X Dietitian, Registered (Licence: CA 906058) | |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2022-07-21 |