| NPI | 1104310036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT135522) |
| 106H00000X Marriage & Family Therapist (Licence: CA 135522) | |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2022-10-27 |