| NPI | 1336478353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP138786) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 619147) |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2021-03-20 |