| NPI | 1912321415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MD U02128) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 10267) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2014-02-05 |