| NPI | 1306034277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60610771) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00054737) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA 1306034277) | |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2017-12-06 |