| NPI | 1083144497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 94517) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA 2720) |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2020-03-09 |