| NPI | 1316315872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 61635469) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA 60604537) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2026-04-10 |