| NPI | 1306477112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61327540) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 163W00000X Registered Nurse (Licence: WA RN61128427) | |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2022-08-03 |