| NPI | 1932350139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX 10051) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 61870) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2026-02-10 |