| NPI | 1003254988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61477497) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 163W00000X Registered Nurse (Licence: WA RN61093671) | |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2023-09-29 |