| NPI | 1023473493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX 967202) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TX 219741) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2024-06-11 |