| NPI | 1427598085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX AP133468) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 40795) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-04-18 |