| NPI | 1568006237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1014427) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 780978) |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2025-10-22 |