| NPI | 1013045202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP012061) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 565162) |
| 363L00000X Nurse Practitioner (Licence: CA 18232) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 565162) | |
| 171M00000X Case Manager/Care Coordinator (Licence: CA 565162) | |
| 225C00000X Rehabilitation Counselor (Licence: CA 565162) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201808928NP-PP) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201808928) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2019-10-28 |