| 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 |