| NPI | 1265726046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC60208465) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00004762) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-08 |