| NPI | 1053861021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 5450) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: TN 210) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |