| NPI | 1174626162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: ID 66573) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 238667) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: TX 238667) | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2023-09-09 |