| NPI | 1184264277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP144232) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: NY 402953) |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CA 95017454) | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: IL 209021104) | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: TX AP144232) | |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2024-07-18 |