| NPI | 1598136574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 926691) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 630674) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2021-01-04 |