| NPI | 1134187222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW6282) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP1820) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2007-07-08 |