| NPI | 1275810665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 20170823NP-PP) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 201708238RN) |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: OR 20170823NP) | |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2023-05-15 |