NPI | 1154884724 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 23349) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 4257) |
Enumeration Date | 2019-04-10 |
Last Update Date | 2024-04-04 |