| NPI | 1184874240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1007203) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 84450) |
| 163W00000X Registered Nurse (Licence: TX 1007203) | |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2024-08-10 |