| NPI | 1578410122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX 737814) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 160559) |
| Enumeration Date | 2026-03-12 |
| Last Update Date | 2026-03-12 |