| NPI | 1245679463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR TBD) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 202009213RN) |
| 225700000X Massage Therapist (Licence: OR 19165) | |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2023-07-13 |