| NPI | 1740655406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP-144701) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 633233) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2023-10-23 |