| NPI | 1255088456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 154808) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 86107910) |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2025-06-16 |