| NPI | 1932620762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1085267) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2017-07-01 |
| Last Update Date | 2024-11-07 |