| NPI | 1366869992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 005265) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 120383) |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2023-10-01 |