| NPI | 1235465485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: TX 517897) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 65188) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2009-10-22 |