| NPI | 1205353091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MA 291393) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 171100000X Acupuncturist | |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2025-06-02 |