| NPI | 1154010015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SKI LYNN JOHNSON Provider 760-628-9774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2023-05-04 |