| NPI | 1346530789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT28567) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2014-04-30 |