| NPI | 1841957206 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1076972) | 
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX 945663) | 
| Enumeration Date | 2021-11-19 | 
| Last Update Date | 2025-07-31 |