NPI | 1942702287 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1203560) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 835691) |
163WC0400X Registered Nurse, Case Management (Licence: TX 835691) | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2018-03-02 |
Last Update Date | 2025-06-10 |