| NPI | 1750863361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1245523) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 845695) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2026-08-24 |