NPI | 1619035847 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0000493) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: MD UO2575) |
171100000X Acupuncturist (Licence: VT 091.0134085) | |
Enumeration Date | 2006-12-04 |
Last Update Date | 2022-12-29 |