| NPI | 1508475872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: TX AP103214) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 2478) |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |