| NPI | 1184785727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 201150083NP) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OR L3781) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-10-13 |