| NPI | 1073748745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 628770) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: TX AP110284) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: TX 628770) | |
| Enumeration Date | 2009-05-23 |
| Last Update Date | 2018-06-19 |