| NPI | 1144430794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C09088) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 363A00000X Physician Assistant (Licence: TN PA0000002063) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2025-08-07 |