| NPI | 1124427950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201800978NP-PP) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 163W00000X Registered Nurse (Licence: OR 201404684RN) | |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2024-06-20 |