| NPI | 1083758924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30002439) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA LH00006554) |
| 101Y00000X Counselor (Licence: WA LH00006554) | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2023-02-10 |