| NPI | 1073933115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00004155) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: VT 091.0000220) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2024-07-25 |