| NPI | 1043842891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1042598) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 871042) |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2021-07-21 |