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 |