| NPI | 1710465794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CMH0194291) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NM ADM-2024-0016) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2024-08-20 |