| NPI | 1962710673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1177710) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 560143) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2025-08-11 |