| NPI | 1720300072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1098260) |
| Additional Taxonomies | 251E00000X Home Health (Licence: TX 010642) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2022-11-28 |