| NPI | 1710717566 |
|---|---|
| Former Name | OLGA JANETH ROSTRON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1082841) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2024-10-29 |