| NPI | 1871442848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1204563) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 914113) |
| Enumeration Date | 2026-01-23 |
| Last Update Date | 2026-01-23 |