| NPI | 1174855100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC216291) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 10-12-38) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2023-09-08 |