| NPI | 1578797510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW9349) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 1030424) |
| 171100000X Acupuncturist (Licence: FL AP2683) | |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2014-07-25 |