| NPI | 1679943773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 3022) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 23-QMHP-R-1806) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2023-03-07 |