| NPI | 1275399297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1153993) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 1153993) |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-05-08 |