| NPI | 1962730606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-05878) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NM CADS-012) |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2009-11-18 |