| NPI | 1619580073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP146044) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2022-07-15 |