| NPI | 1609812536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA10004541) |
| 363AM0700X Physician Assistant, Medical (Licence: WA PA10004541) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2023-09-12 |