| NPI | 1043858400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 201901765RN) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: WA 61316286) | |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2025-11-23 |