| NPI | 1225363815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60411727) |
| Additional Taxonomies | 101Y00000X Counselor |
| 163W00000X Registered Nurse (Licence: OR 201143130RN) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201391507NP-PP) | |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2018-04-10 |