| NPI | 1629238480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 41878) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2008-06-13 |