| NPI | 1659763779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL APRN11010591) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP130466) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP130466) | |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2023-03-21 |