| NPI | 1568599355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MD UO1114) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 07009) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2011-08-11 |