| NPI | 1124176300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP3850) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904004696) |
| 1041C0700X Social Worker, Clinical (Licence: MD 13138) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 27146) | |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2022-03-04 |