| NPI | 1154430015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 663244) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2011-09-13 |