| NPI | 1275916488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 171100000X Acupuncturist (Licence: CA 16489) | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2021-06-11 |