NPI | 1346654241 |
---|---|
Former Name | AUBREY KIRCHOFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP142443) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 78132) |
Enumeration Date | 2014-06-18 |
Last Update Date | 2023-01-03 |