NPI | 1902038110 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 45729) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 910223) |
Enumeration Date | 2009-08-20 |
Last Update Date | 2009-08-20 |