| NPI | 1831362979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 17727) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA B7148916) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2022-03-18 |