| NPI | 1265981997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60809756) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA RN60090663) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AK NURR35583) | |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2018-08-24 |