| NPI | 1366670085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0813X Clinical Nurse Specialist Psychiatric/Mental Health, Geropsychiatric (Licence: MA 2258485) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MA 212677) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2020-07-31 |