| NPI | 1023022415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 1166904405) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 1166903502) |
| 106H00000X Marriage & Family Therapist (Licence: UT 1166903902) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2013-03-04 |