| NPI | 1679766059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 139275) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 931856) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2024-02-09 |