| NPI | 1972730232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 16566) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NC LAC-848) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2009-06-14 |
| Last Update Date | 2023-07-23 |