| NPI | 1750398640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY R0162401) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 203-1) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-08 |