| NPI | 1043313935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP30005089) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: WA AP30005089) |
| 101YM0800X Counselor Mental Health (Licence: WA AP30005089) | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2021-11-17 |