NPI | 1114470952 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201705849NP-PP) |
Additional Taxonomies | 101Y00000X Counselor |
163W00000X Registered Nurse (Licence: OR 201507180RN) | |
Enumeration Date | 2016-07-28 |
Last Update Date | 2022-10-12 |