| NPI | 1609882398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WI 1002-55) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171100000X Acupuncturist (Licence: HI acu-1267) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2021-02-04 |