| NPI | 1174860696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA09152) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 88249) |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2024-03-04 |