| NPI | 1295967339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX AP131047) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AR R66694) |
| 363LF0000X Nurse Practitioner Family (Licence: TX AP131047) | |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2020-10-10 |