| NPI | 1548582869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 23408) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MD UO1799) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2018-08-24 |