| NPI | 1316240666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61486344) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 142493) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2024-01-18 |