| NPI | 1134628571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201907778NP-PP) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 098000288RN) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA rn60571383) | |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2020-01-14 |