| NPI | 1235599010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA lh60843665) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2024-09-13 |