| NPI | 1417582891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1049142) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 971070) |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2021-09-02 |