| NPI | 1376934786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: TX AC01553) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 208552) |
| Enumeration Date | 2015-02-07 |
| Last Update Date | 2020-11-03 |