| NPI | 1831197482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP104373) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 003310-041463) |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: TX AP104373) | |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2020-05-11 |