| NPI | 1023380128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201142442RN) |
| Additional Taxonomies | 101Y00000X Counselor |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 201142442RN) | |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2016-02-24 |