| NPI | 1295318459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1039298) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: TX 740045) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX 740045) | |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2025-06-24 |