| NPI | 1174842215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OK 3205) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 5388) |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2024-09-20 |