| NPI | 1801396361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 2871) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OK 7352) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2023-05-18 |