| NPI | 1245821669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 9452) |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2025-04-03 |