| NPI | 1659023737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1059964) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 69424) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61347211) | |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2024-11-04 |