| NPI | 1023584257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61357158) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60743117) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: VA 0001325353) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024188987) | |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2024-08-12 |