| NPI | 1144320227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AZ 1946) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 3052) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2008-12-24 |