| NPI | 1326601790 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 175F00000X Naturopath (Licence: AZ 19-1799) | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 19-1799) | 
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: AZ 19-1799) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 19-1799) | |
| Enumeration Date | 2019-04-20 | 
| Last Update Date | 2025-04-01 |