| NPI | 1205301975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 4216) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 171100000X Acupuncturist (Licence: OR AC190894) | |
| 208D00000X General Practice (Licence: OR 4216) | |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2020-06-01 |