| NPI | 1730937905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIE MBUA Owner/Pmhnp Bc 281-901-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2024-05-10 |