| NPI | 1558644617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: GA 87) |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: GA 001798 LMSW) |
| 103TF0000X Psychologist Family (Licence: GA 1798 LMSW) | |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |