| NPI | 1093304867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP4605) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-127216) |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2024-11-28 |