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 |