| NPI | 1194883611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP1970) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH4742) |
| 225700000X Massage Therapist (Licence: FL MA23119) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2017-03-10 |