| NPI | 1013704972 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024193349) | 
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61685222) | 
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10026417) | |
| Enumeration Date | 2025-04-23 | 
| Last Update Date | 2025-06-09 |