| NPI | 1790992519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 23511) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC2210) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2019-01-02 |