| NPI | 1093559932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX 971600) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: TX 971600) |
| 163WC0400X Registered Nurse, Case Management (Licence: TX 971600) | |
| 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: TX 971600) | |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-06-25 |