| NPI | 1841268158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I06467) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL 1681) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801016590) | |
| 1041C0700X Social Worker, Clinical (Licence: MI L863313) | |
| Enumeration Date | 2006-03-11 |
| Last Update Date | 2012-01-30 |