| NPI | 1114097417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NM 1740) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NM 13) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2013-08-01 |