| NPI | 1073643565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 19481) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: TX 00657) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-08 |