| NPI | 1093358590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60976795) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00165825) |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2025-10-31 |