| NPI | 1659591543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT60505327) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: MT 127) |
| 225100000X Physical Therapist (Licence: WY 1304) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2015-11-23 |