NPI | 1578056438 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133N00000X Nutritionist (Licence: LA BC194) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 12243A) |
106H00000X Marriage & Family Therapist (Licence: NC 12243A) | |
171400000X Health & Wellness Coach | |
202D00000X Integrative Medicine (Licence: LA BC194) | |
Enumeration Date | 2018-06-14 |
Last Update Date | 2023-04-20 |