NPI | 1235696154 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10016662) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 201606029RN) |
Enumeration Date | 2019-02-27 |
Last Update Date | 2024-09-24 |