NPI | 1215708789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61574402) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN.519187) |
Enumeration Date | 2024-01-12 |
Last Update Date | 2024-07-23 |