| NPI | 1861918344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP134875) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital |
| 363L00000X Nurse Practitioner (Licence: TX AP134875) | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2022-03-18 |