| NPI | 1306377148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP133056) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133056) |
| 171M00000X Case Manager/Care Coordinator (Licence: TX 699534) | |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2025-12-11 |