| NPI | 1861551814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: TX 1232380) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 251E00000X Home Health | |
| 310400000X Assisted Living Facility | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2026-06-30 |