| NPI | 1548469257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP116381) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60021585) |
| 101YP2500X Counselor, Professional (Licence: TX 18265) | |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2023-03-07 |