| NPI | 1508596503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: TX PA15934) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA15934) |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2024-02-19 |