NPI | 1760507016 |
---|---|
Former Name | VALERIA WYCKOFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175F00000X Naturopath (Licence: OR 4099) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: R399599) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2018-08-25 |