| NPI | 1851652853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17036) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP4015) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2021-07-29 |