| NPI | 1770622078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61572485) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC00002982) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2025-04-22 |