| NPI | 1326699323 | 
|---|---|
| Former Name | CARRIE RATLIFF | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1034845)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 3529)  | 
| 163W00000X Registered Nurse (Licence: TN 233166)  | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 26499)  | |
| Enumeration Date | 2019-09-23 | 
| Last Update Date | 2021-09-15 |