| NPI | 1770820193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130524) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: CA 10915461) |
| 174N00000X Lactation Consultant, Non-RN (Licence: CA 10615461) | |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2025-06-03 |