| NPI | 1497813620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 507125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 10647) |
| 106H00000X Marriage & Family Therapist (Licence: TX 142) | |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: TX 507125) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2015-04-06 |