| NPI | 1659686905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 105801) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 001010567) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2023-01-18 |