| NPI | 1114569167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX ap143307) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 31793) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR 122511) | |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2023-04-04 |