NPI | 1437342110 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A16260) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 4038) |
111N00000X Chiropractor (Licence: GA CHIR008232) | |
Enumeration Date | 2007-08-25 |
Last Update Date | 2024-05-24 |