| NPI | 1194801068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0075171) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NM 873) |
| 146M00000X Emergency Medical Technician, Intermediate (Licence: NM 00014277) | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2025-09-11 |