| NPI | 1912750860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEATRIA DAVIS Owner 209-752-1965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 174H00000X Health Educator | |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-04-10 |