| NPI | 1801129424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR010064) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL C1627A) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2019-05-17 |