| NPI | 1023191418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 09177) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MD U01507) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2022-08-27 |