| NPI | 1194472233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX 1070812) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 878388) |
| 163W00000X Registered Nurse (Licence: NM 67675) | |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2024-10-29 |