| NPI | 1285767186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA06231) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 17615) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2023-01-26 |