| NPI | 1912006073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: TX 611024) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 004590042453LMFT) |
| 163W00000X Registered Nurse (Licence: TX 611024) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2025-09-11 |