| NPI | 1790725323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1140635) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 13713) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2024-04-02 |