| NPI | 1386422392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 80760) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: TX 1117939) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX 1117939) | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: TX 1117939) | |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2026-05-20 |