| NPI | 1528321510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 18905) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 77715) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2012-06-24 |
| Last Update Date | 2020-09-14 |