| NPI | 1548056542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1216753) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 913829) |
| 163W00000X Registered Nurse (Licence: OR 1015357) | |
| Enumeration Date | 2025-04-16 |
| Last Update Date | 2025-11-04 |