| NPI | 1699424598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1089528) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0102658-C-NP) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX 901016) | |
| Enumeration Date | 2022-03-20 |
| Last Update Date | 2025-10-02 |