| NPI | 1881975431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 006204) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60885249) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2018-10-09 |