| NPI | 1568458099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 006607) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 28072) |
| 225100000X Physical Therapist (Licence: AZ 8373) | |
| 175F00000X Naturopath (Licence: AZ 13-1363) | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2013-05-07 |