| NPI | 1649425091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA09942) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 63151) |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2026-01-14 |