| NPI | 1780846857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1195395) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: DE DE000040520608) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2025-06-16 |