| NPI | 1124037957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 521247) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 13337) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: TX 521247) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2015-10-28 |