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 |