| NPI | 1285025379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH21226) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP 3565) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2022-07-07 |