| NPI | 1679136394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP141407) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11012512) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR 226254) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 227790) | |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2025-12-19 |