NPI | 1750635819 |
---|---|
Former Name | MICHELLE JEANINE BARRETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 14996) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 7370) |
Enumeration Date | 2012-10-28 |
Last Update Date | 2012-10-28 |