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 |