| NPI | 1053328799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW7064) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP3800) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2019-07-20 |