| NPI | 1770166258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV BP00945873) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WV 19033) |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2021-05-03 |