| NPI | 1023318078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 5973) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: AZ 4059688) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2016-08-25 |