NPI | 1467962514 |
---|---|
Former Name | STEPHANIE KAY HUSTON MYLES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175F00000X Naturopath (Licence: AZ 17-1637) |
Additional Taxonomies | 175L00000X Homeopath (Licence: AZ 17-1637) |
Enumeration Date | 2017-10-03 |
Last Update Date | 2020-10-08 |