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 |