NPI | 1710021654 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC002674L) |
Additional Taxonomies | 101Y00000X Counselor (Licence: FL AP 751) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL AP 751) | |
111NN1001X Chiropractor, Nutrition (Licence: PA DC002674L) | |
111NR0400X Chiropractor, Rehabilitation (Licence: PA DC002674L) | |
111NX0800X Chiropractor, Orthopedic (Licence: PA DC002674L) | |
133N00000X Nutritionist (Licence: FL AP 751) | |
133N00000X Nutritionist (Licence: PA OM000012) | |
171100000X Acupuncturist (Licence: FL AP 751) | |
171100000X Acupuncturist (Licence: PA OM000012) | |
175F00000X Naturopath (Licence: FL AP 751) | |
175L00000X Homeopath (Licence: FL AP 751) | |
225400000X Rehabilitation Practitioner (Licence: FL AP 751) | |
225700000X Massage Therapist (Licence: FL AP 751) | |
Enumeration Date | 2007-02-16 |
Last Update Date | 2021-08-31 |