Beth is a Registered Clinical Counsellor who is passionate about empowering others in the face of life’s challenges to live a full and authentic life. She is creative and collaborative in navigating your journey to mental and physical wellness and takes an honest and empathetic approach to the therapeutic relationship. She has experience working with those from a variety of backgrounds including those from the 2SLGBTQIA+ community and adolescents aged 13 and up. She strives to create a safe space of inclusivity regardless of race, sexuality, gender, or any other identity that makes you, you.

Beth sees all parts of a person as interconnected, body, mind and spirit, and understands that each of these aspects contribute to one’s well being. Beth integrates her over ten years experience as a Registered Holistic Nutritionist into her work with individuals, weaving together both her knowledge of how psychological states influence our physical health and nutrition and lifestyle habits to support the body’s natural capacity to heal. She is passionate about supporting those facing autoimmune conditions (like multiple sclerosis, rheumatoid arthritis, hypo-and hyper- thyroid, Crohn’s disease, ulcerative colitis, and celiac disease) and other chronic conditions like chronic pain, diabetes, cardiovascular disease, digestive conditions (like irritable bowel syndrome (IBS)), cancer, chronic fatigue, and reproductive health issues (like perimenopause, premenstrual syndrome (PMS), polycystic ovarian syndrome (PCOS), endometriosis, and infertility). She also has experience working with individuals with anxiety, depression, ADHD, and borderline personality disorder (BPD), as well as those facing stress and overwhelm, grief, and relational issues.

Using a trauma-informed lens, Beth is always sensitive to how a person’s experience may influence the counselling process and takes your lead in what feels comfortable. Her approach is insight oriented, meaning that together you will gain a deeper understanding of how your emotions and past experience influence your patterns and current mental and physical health. Beth is primarily informed by person-centred, mindful self-compassion, and strength-based therapies, also integrating aspects of cognitive behaviour therapy (CBT), dialectical behaviour therapy (DBT), mindfulness, and somatic exploration based on your unique needs.

Beth is committed to the mental wellness of her community, currently working as a counsellor as IWAV (and previously at Island Community Services) in addition to her practice at Madrona. To find out more about Beth and her approach, you can visit her website here.

Beth is a Registered Clinical Counsellor who is passionate about empowering others in the face of... Read More

Dr. Anne Marie Chomat, MD, PhD, MPH is a physician trained in Internal Medicine whose work integrates medical insight with systems-based, somatic, and relational approaches to healing and wellbeing.

At Madrona, Anne Marie offers individualized, non-clinical healing guidance that complements medical and counselling care. She supports people seeking time and space to make sense of complex health experiences, life transitions, or experiences of depletion and disconnection — with the aim of restoring coherence, vitality, personal agency, and trust in the body’s innate wisdom.

She is particularly passionate about supporting individuals who feel that something deeper is asking for attention — and who are ready to reconnect with themselves, their inner direction, and a renewed sense of vitality, meaning, and purpose.

Her approach is transdisciplinary and integrative, rooted in deep listening, pattern recognition, and an understanding of health as shaped by biological, emotional, relational, and environmental influences. Drawing on her training in medicine, coaching, somatic practice, and contemplative traditions, she helps clients recognize patterns across their health and life experience and reconnect with the inner resources that support healing and resilience.

Sessions may include guided inquiry, reflective practices, and somatic awareness, and — where meaningful and appropriate — elements of ritual, symbolism, or deeper reflection may be woven into the work.

By choice, Anne Marie’s work is non-clinical and does not include medical diagnosis, assessment, or treatment. It is designed to complement — not replace — care provided by licensed healthcare professionals.

Anne Marie also draws from her training in woman-centered transformational coaching and group facilitation and has extensive experience holding individual and group spaces for reflection, healing, and life transition. Her work is further informed by embodied, movement-based, and depth-oriented practices that support nervous system regulation and integration.

Anne Marie trained in Internal Medicine and Infectious Diseases and completed a Master of Public Health to expand her focus beyond individual physiology toward the social, cultural, and structural influences on health. Her doctoral research explored intergenerational stress and its impacts on maternal and infant health across biological, psychological, socio-cultural, and historical dimensions.

For over 25 years, she has worked alongside individuals and communities across five continents, with long-term engagement in the Global South. Since 2009, she has co-founded and helped lead Buena Semilla, a grassroots Indigenous Maya women-led initiative in Guatemala focused on collective healing, cultural repair, and the restoration of personal and collective agency. This work has profoundly shaped her understanding of health as place-based, relational, and inseparable from identity, culture, and belonging.

In her free time, Anne Marie can often be found lost in play with her children, painting, writing, dancing, hiking, or swimming — connecting deeply with life, nature, and others. She treasures time with her two children, her husband, and friends old and new, and values the cross-cultural perspectives, relationships, and shared reflections on life that continue to shape her path. She is grateful to call Salt Spring Island home.

Anne Marie offers sessions in English, Spanish, and French.

Dr. Anne Marie Chomat, MD, PhD, MPH is a physician trained in Internal Medicine whose work integr... Read More

Sarah Demaré is a final-year naturopathic medicine student completing her clinical training while seeing patients under the supervision of Dr. Hannah Webb. Sarah approaches healthcare with curiosity, compassion, and a relaxed and grounded presence. She values personalized medicine and works collaboratively with patients to create treatment plans that feel both effective and realistic. Her care is rooted in understanding the whole person, drawing from natural medicine, Traditional Chinese Medicine, Western medicine and mental-emotional perspectives to uncover the root of dysfunction and restore balance.

With formal training in neuroscience, Sarah places strong emphasis on nervous system regulation and its relationship to digestion, hormones, mood, sleep, pain, and overall vitality. She welcomes all patients and has a particular interest in: neurodegenerative disease, musculoskeletal and sports-related injuries, insomnia, gut health concerns, menstrual irregularities and fertility support (including PCOS and endometriosis), mood disorders (including PMDD, depression, and anxiety), prenatal, postpartum, and pediatric care.

Sarah’s clinical approach includes comprehensive history-taking, physical examinations, orthopedic testing, and appropriate lab work. Her favorite therapeutic tools are personalized herbal medicine formulas and acupuncture. She also commonly incorporates supplements, intravenous therapy, nutrition, pharmaceuticals, homeopathy, lifestyle guidance, and physical medicine as needed.

Sarah enjoys playing volleyball, exploring nature, swimming in the ocean, and tending her garden, activities that reflect her belief in movement, connection, balance and joy as pillars of health.

Sarah Demaré is a final-year naturopathic medicine student completing her clinical training while... Read More

We are delighted to announce that we are now offering Holistic Skin Care & Medical Aesthetics with Dr. Sam Bowen ND at Madrona Integrative Health. Our new offering is built with the philosophy that glowing, healthy, vibrant skin is a result of both internal factors as well as topical approaches – our aim is to offer a full spectrum approach to skin care.

Holistic Skin Care & Medical Aesthetics:

Our new medical aesthetic treatment options to help our patients achieve healthy and glowing skin include the following:

• Facial Acupuncture with LED Light Therapy, Facial Massage, and Gua Sha
• SkinPen Microneedling
• Neuromodulators (commonly referred to as botox)

More information about these treatments is provided below. You can also book a 30-minute Medical Aesthetics consult with Dr. Sam to strategize an individualized approach using these treatments to help you achieve your skin goals.

Dr. Sam’s Bio:

We’re excited to welcome Salt Spring Island-raised Dr. Sam Bowen ND to the Madrona Integrative Health team! Dr. Sam will be leading the Holistic Skin Care & Medical Aesthetics program. She is passionate about holistic skin care – from her own personal struggles with eczema and acne to witnessing the impact of various skin conditions on her patients, she understands that achieving healthy and vibrant skin requires a multifaceted approach with internal and external treatment considerations. Skin concerns can be a sign of internal imbalance that can be addressed to optimize health overall - healthy skin is a reflection of a healthy body. And, this can be helped along with the inclusion of topical treatments. She believes that achieving healthy skin is empowering at any stage in life.

Dr. Sam is a naturopathic doctor who strives to create patient-centred care that focuses on identifying the root cause of symptoms and understanding the interconnectedness between the different systems of the body and mind. Drawing on a variety of tools such as lifestyle and nutritional counselling, targeted supplementation, acupuncture, IV nutrient therapy, and pharmaceuticals, her goal is to create individualized treatment plans that optimize the unique health needs of her patients. Through this process, she aims to establish an environment where patients feel supported and empowered throughout their health journey.

Her clinical focus lies in supporting skin health optimization, women’s health, digestive health, and mental health.

More about these treatments:

Facial Acupuncture with LED light, Facial Massage, and Gua Sha

Facial acupuncture targets specific areas along the face to improve blood circulation, relieve muscle tension, improve fine lines, support collagen production, and promote skin rejuvenation. Using a Traditional Chinese Medicine approach, these needles are used to bring balance to the meridians or pathways of Qi (energy) that flow throughout the entire body. Body acupuncture points are also included as needed to encourage flow throughout the entire system.

This treatment also includes Celluma LED light therapy for the face to stimulate collagen production, accelerate tissue repair, reduce inflammation, kill acne-related bacteria, and improve skin tone and texture. It is also complemented with a blissful facial massage and gua sha treatment to release muscle tension and support lymph flow, leaving you with glowing skin. Some or all of these modalities may be utilized depending on the patient’s specific needs and goals.

Benefits of this treatment may include improved muscle tone; decreased puffiness around the eyes; firming of sagging skin; reduction of fine wrinkles; even skin tone and texture.

Microneedling

Microneedling is a safe and effective collagen induction therapy. It initiates skin remodelling and can be used to treat a variety of skin concerns such as fine lines and wrinkles, acne scarring, hyperpigmentation, enlarged pores, textured skin, or overall skin rejuvenation.

The treatment is performed using the Health Canada approved SkinPen Precision medical-grade device. This is a micromechanical device that uses tiny sterile needles to create tiny microchannels within the skin that initiates collagen production. Treatment can be performed on the face or face and neck.

Benefits include: improvement in fine lines and wrinkles; reduction in acne or facial scarring; improvement in uneven skin tone and hyperpigmentation; reduction in enlarged pores; improvement in overall skin complexion

Cosmetic Neuromodulator Treatment

Neuromodulators (commonly referred to by the brand name “Botox”) are used to relax specific muscles of the face to produce a softening effect of fine lines and wrinkles. A neuromodulator is injected into a muscle to cause a temporary reduction in the strength of muscle contraction (on average is 3-4 months) which helps to reduce wrinkles and create smoother skin. Dr. Sam believes less is more, and takes a gentle approach, building as needed to ensure that you achieve the results you desire.

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Carla works with a wide range of individuals - from active folks managing persistent aches, to those navigating chronic pain or seeking regular wellness support. Whether someone arrives feeling stiff, sore, stressed, or just a little worn down by life, her goal is always the same: to help them leave feeling grounded, renewed, and ready to take on whatever comes next. Her treatments are deeply personalized, meeting each client exactly where they are that day - offering grounding when things feel chaotic, uplift when spirits are low, and nurturing care when reconnection is needed.

Carla’s treatment style is focused and therapeutic, with an emphasis on working alongside the nervous system to support lasting change. Each session is tailored through ongoing assessment, with depth and techniques adjusted based on her clinical observations and client feedback. Her treatments incorporate myofascial release, trigger point therapy, muscle energy techniques, hot stones, and IASTM (instrument-assisted soft tissue mobilization), blended to suit each body’s unique needs. She believes that effective treatment is built on both therapeutic intent and mutual trust - balancing productive discomfort with nervous system regulation to harmonize the body’s response. Her goal is to work collaboratively with clients to help them return to or maintain the lifestyle they love, whether that includes weekend getaways, quality time with family, a pain-free workday, or curling up with a good book.

Carla is originally from North Delta, where she graduated from the West Coast College of Massage Therapy (WCCMT) at the New Westminster campus in December 2020. During her time in the program, she gained valuable experience working with pre- and post-natal clients, individuals with spinal cord injuries, and a wide range of musculoskeletal conditions. She’s excited to help clients take meaningful steps in their rehabilitation and wellness journey.

As an avid hiker and athlete, Carla understands the physical demands and discomfort clients may face on a day-to-day or adventure-to-adventure basis. She brings a strong passion for learning to her practice and is always ready for a spontaneous backpacking trip. When not out exploring, she can be found reading, sewing, gardening, or diving into new research to expand her clinical knowledge. She also values strong rapport-building and creates a space where clients feel at ease - whether that means chatting, resting, or a bit of both. While she can offer relaxation-focused sessions when needed, her work is primarily orthopaedic and goal-oriented, guided by her clients’ needs and lifestyles.

Carla works with a wide range of individuals - from active folks managing persistent aches, to th... Read More

Dr. Holly Hochstadt is a passionate and skilled chiropractor with 29 years of experience. She has a diverse chiropractic skill set, ranging from gentle tonal work (to help the nervous system unwind and process stored tension) to more classic chiropractic adjustments and soft tissue work. She is comfortable supporting a diverse set of patients, from very sensitive people to those who benefit most from stronger physical intervention. She recognizes that healing takes place on many levels of mind, body, and spirit, and has the varied repertoire of skills to be able to effectively work with patients across this spectrum. She is skilled in creating safe space, and places a high value on informed consent and trauma-informed care, understanding this is specifically important in chiropractic work.

Dr. Holly cares for people of all ages and stages of life, from newborns to children and teens to elders. Her patients range from laborers, desk workers, gardeners, athletes, and people recovering from health challenges, illness, injury, or life transition.

Dr. Holly is a firm believer in empowering her clients through education and in taking an active role in their own health. She provides educational resources and support to help her clients on this path, including recommendations for nutrition, supplements, specific exercises for the physical body, or methods to support the parasympathetic nervous system in grounding and healing, as indicated.

Drawing on her diverse skill set, her goal is always to find the best method for each patient to assist their healing and expression of their full potential in life. Dr. Holly offers a wide range of chiropractic adjusting approaches, including traditional manual chiropractic, drop table, and instrument-assisted adjusting, all of which work with injuries and improve function of the nervous system, spine, joints, and muscles. She also practices Bio-Geometric Integration (BGI), a tonal style of chiropractic that assesses how the body is storing tension from past overloads, where the body is ready to process tension, and then uses gentle fingertip pressure to facilitate the body in accessing, unwinding, and integrating it. This can be powerful healing work.

Dr. Holly is a vitalistic chiropractor, meaning she recognizes that the human body has an innate ability to heal itself, and that chiropractic care helps remove interference to our inborn healing capacity, allowing for a fuller expression of health and vitality. She believes that health includes our physical, emotional, social, mental, and spiritual well being. Her philosophy of care is to address the root cause of your health concerns, rather than just treating symptoms.

Dr Holly works with discomfort or injury of the spine or any muscle or joint of the body:

• Pain in the neck, back, ribs, pelvis
• Spasm of low back, neck or other area
• Sciatica
• Pain or injury of the upper or lower extremities
• Numbness or tingling
• Headaches or migraines
• TMJ discomfort
• Injuries due to car accidents, sports, slip/fall, sprains/strains
• Poor sleep due to either physical discomfort or nervous system “overdrive”
• Reflux, heartburn, upper abdominal pain
• Issues with coordination, mental focus, mood, low immune system
• Nervous system dysregulation

While Chiropractic is often understood to help with the issues of the physical body, the benefits of a better functioning spine and nervous system often go beyond this. Dr Holly recognizes that the body has an innate wisdom and healing potential, and her intention is to help by restoring communication between the brain and the body, via the nervous system. Her approach may involve combining traditional chiropractic techniques, tonal work, and other gentle modalities to promote healing and restore balance. She is committed to providing personalized and compassionate care to every client, and works to create a treatment plan that fits each person’s specific needs and goals.

Dr. Holly values integrity, compassion, connection, and caring for each patient like a beloved family member. After graduating from Western States Chiropractic College in Portland, Oregon in 1995, she practiced in Seattle for 24 years, and then in an agricultural community in Southern Alberta for 4 years. She joyfully returned to the West Coast in 2023, and is enjoying exploring our region with her partner and her hiking groups. She loves gardening, cooking, reading, kirtan, hiking, and building community. She is grateful to be of service to the Salt Spring Island community on the path of expressing health and human potential.

Dr. Holly Hochstadt is a passionate and skilled chiropractor with 29 years of experience. She has... Read More

Dr. Patrick Callas, ND is a Naturopathic Physician with over a decade of experience working with patients of all ages. He brings both curiosity and empathy to his consults and takes a multi-faceted approach to treatment plans, working with his patients as humans who need real individual solutions that work for them. He believes in collaborating with other care providers as a team to explore a wide scope of healing tools such as herbs, nutrition, exercise, acupuncture, pharmaceuticals, hormone replacement therapy, injection and intravenous therapies.

While Patrick has had a general practice working with folks of all genders and ailments, his areas of focus are mental health and mood (anxiety, depression, PTSD), neurodiversity (ADHD/ADD), autoimmunity, gut health, chronic pain, cancer, and longevity. In particular, he draws from his lived experience on a personal journey with anxiety, IBS and receiving the diagnosis of ADHD as an adult, offering a depth of interconnected wisdom as well as empathy and compassion to patients working with these challenges.

He has specialized training in oxidative therapies (ozone and hydrogen peroxide therapy), chelation (the removal of heavy metals), neural and scar therapy, and hormone replacement therapy.

Patrick spent most of his life on Salt Spring Island where practiced at his own clinic, Island Natural Health until 2017 when he moved to Vancouver and joined the Empower Health leadership team. He has now returned to the island and is excited to re-launch his local practice with the collaborative team here at Madrona.

Patrick’s Advanced Training and Certifications include:

• Advanced Intravenous Therapies

• Heavy Metal Toxicology & IV Chelation – Drs. Paul Anderson, ND, & Virginia Osborne, ND

• Oxidative Therapies (Hydrogen peroxide, Ozone & UVB) with Dr. Michael Prytula, ND

• Advanced Neural Therapy with Dr. Jeff Harris, ND

• Sublingual Immunotherapy (SLIT)

• Medical Qi Gong from Master Teresa Yeung

• Naturopathic Cardiac Life Support and Basic Life Support with CPR

• Naturopathic Pharmaceutical Prescribing License

Dr. Patrick Callas, ND is a Naturopathic Physician with over a decade of experience working with ... Read More

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Welcoming Dr. Nicole back from maternity leave on March 25th!

Dr. Nicole van Poelgeest is a naturopathic doctor who approaches your wellbeing with the philosophy that health is not simply the absence of disease. She works alongside you to restore equilibrium to body, mind, and spirit and believes that when these elements are balanced, one begins to feel what it truly means to be healthy: to have vitality in one’s life and to feel whole.

Keeping this paradigm in mind, she has a passion for women’s health, acting as an advocate and ally in the periods of transition unique to menopause, fertility & parenthood (including fertility concerns & perinatal care), and providing treatment options for PMS, menstrual issues, endometriosis, and PCOS. Additionally, Nicole works with autoimmune conditions, allergies, digestive issues, skin problems, and naturopathic cancer support.

Integrating the wisdom of traditional medicines with current research, she uses herbal, nutritional, and when necessary, pharmaceutical remedies to tailor treatment to the individual. While naturopathic doctors are trained in a variety of therapeutic interventions, Nicole’s clinical interest lies in herbal medicine, nutrition, IV treatment, acupuncture, and the mind/body connection. She uses these therapies to co-create customized health plans with her patients.

Visits can be conducted in working level French.

Please note that new patients have the option to book a Telehealth first appointment to ensure they are able to find a time slot in Nicole’s schedule. Subsequent visits can be in person or by telehealth as per patient preference.

Visit her website to learn more

Welcoming Dr. Nicole back from maternity leave on March 25th! Dr. Nicole van Poelgeest is a na... Read More

Please note: Meghan is not currently accepting new clients.

Meghan is a dedicated Massage Therapist with a deep-rooted passion for supporting others on their journey to wellness. Her approach to massage is grounded in empathy, knowledge, and a strong belief in the body’s ability to heal when given the right support. Having experienced firsthand how powerful massage therapy can be—both physically and emotionally—she brings a heartfelt intention to every treatment she offers.

Meghan works with clients from all walks of life and creates a safe, inclusive space where individuals can feel cared for, heard, and empowered. She has a particular interest in working with pre- and post-partum clients, children and youth, and individuals dealing with chronic neck tension, jaw pain, or headaches. Her gentle, intuitive touch combined with an ever-growing repertoire of techniques allows her to customize each treatment to meet her clients’ unique needs.

Her skill set includes deep tissue massage, Swedish massage, Craniosacral therapy, myofascial release, trigger point therapy, and relaxation massage. Whether you’re looking for relief from physical pain, support through life transitions, or simply a chance to slow down and reconnect with your body, Meghan’s treatments are designed to help you feel more at ease.

Believing that movement is an essential part of wellness, Meghan encourages her clients to take an active role in their healing process. She sees movement not as a chore, but as something that can be joyful and fulfilling. Her practice combines clinical knowledge with a calming, supportive atmosphere, allowing clients to feel both motivated and nurtured. Above all, Meghan’s goal is to help you feel more at home in your body—one session at a time.

Please note: Meghan is not currently accepting new clients. Meghan is a dedicated Massage Therap... Read More

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Rob Cosma is a Registered Physiotherapist who brings a compassionate, evidence-based approach to movement and rehabilitation. He believes that true recovery and wellbeing come not only from addressing physical symptoms, but also from empowering patients with the knowledge and tools to reconnect with their bodies and restore confidence in movement.

As a physiotherapist, Rob has experience working with a broad range of populations including post-surgery patients, job-related injuries, performance athletes, and those navigating complex musculoskeletal and neurological conditions. Drawing from his training in manual therapy, movement science, and vestibular rehab, Rob crafts individualized treatment plans that reflect both his clinical expertise and each patient’s unique goals. He has a special interest in knee and ankle injuries and post-operative rehab, but enjoys treating patients from all walks of life.

Before his career in physiotherapy, Rob gained experience as a kinesiologist while training as a high level competitive swimmer, and working as a lifeguard and swimming teacher in his home city of Vancouver. Shortly after completing his studies in kinesiology at UBC, Rob travelled abroad to Scotland to complete his physiotherapy education, and moved to Vancouver Island upon his return to Canada. Rob’s time in the UK hospital system and his clinical private practice in Campbell River have given him the opportunity to gain experience in multiple specializations in physiotherapy, and integrate these different schools of thought for a unique treatment approach.

Rob is a lifelong advocate for inclusive and holistic care, and his sessions are a collaborative space where patients are seen, heard, and supported throughout their recovery. Rob believes in the importance of listening deeply and embracing humour every day.

As a newcomer to Salt Spring, Rob looks forward to learning from his patients and becoming a part of the community. Outside of his clinical practice, he can be found exploring the island by bike, learning to sail, and freediving with his fiancée, Anna, and their sassy Border Collie mix, Edna.

Rob Cosma is a Registered Physiotherapist who brings a compassionate, evidence-based approach to ... Read More

Book with the IV suite to have an IV administered by one of our nurses.

Book with the IV suite to have an IV administered by one of our nurses. Read More

Dr. Hannah Webb ND is a naturopathic primary care physician who practices medicine that addresses health on all levels: physical, emotional, and spiritual. She works to address the unique interconnected aspects of health that make up the individual ecology of each of her patients. She is collaborative and works with her patients in co-creating health, together finding a unique set of solutions and strategies best for the individual patient. She uses a diverse set of tools from conventional lab testing and pharmaceutical medicines all the way through to dietary and lifestyle changes, herbal medicine, acupuncture, and more. She brings a discerning eye to both conventional and alternative medicine, and strives to work with you as a guide and partner on your path to wholeness.

Visit her website to learn more

Dr. Hannah Webb ND is a naturopathic primary care physician who practices medicine that addresses... Read More

Dr. Kate Schertzer ND, DC is a primary care doctor of naturopathic and chiropractic medicine who takes a multidimensional, holistic approach to health: physical, emotional, social and spiritual. From in depth history taking, functional movement screening, and hands on physical assessment to comprehensive lab and diagnostic analysis she has a focus on identifying and addressing the root cause of dis-ease. She strives to provide a patient centred, collaborative approach to wellness, offering support, and guidance to help each patient achieve their unique health goals.

Drawing from a versatile background she recognizes the utility of conventional and alternative medical modalities in the journey of health and wellness. She utilizes a diverse array of treatments including physical medicine, chiropractic manipulation and soft tissue therapies, nutrition and lifestyle changes, acupuncture, herbal medicine, supplementation and more.

Her goal as a practitioner is to be humble, to live and practice with openness and integrity and be a resource for not only her patients, but her community as well.

To book with Kate at the Arbutus Branch in North Cowichan, click here.

Dr. Kate Schertzer ND, DC is a primary care doctor of naturopathic and chiropractic medicine who ... Read More