| NPI | 1255802377 |
|---|---|
| Former Name | MALLORY AYE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CA 1135) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: OR 4219) |
| 175F00000X Naturopath (Licence: AZ 18-1760) | |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2021-10-11 |