| NPI | 1891045993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 073411-1) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 073411-1) |
| Enumeration Date | 2012-09-16 |
| Last Update Date | 2013-05-31 |