| NPI | 1316117047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OR 000043616RN) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 000043616N6) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-13 |