| NPI | 1730957952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 868488-4405) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: UT 8684888-3102) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 868488-8900) | |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2025-03-04 |