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