| NPI | 1285639500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30005467) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: WA AP30005467) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2018-05-21 |