| NPI | 1780394734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MA 6014266) |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2026-05-01 |