| NPI | 1376259846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10039313) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1076143) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 36440) | |
| Enumeration Date | 2023-01-27 |
| Last Update Date | 2025-10-22 |