| NPI | 1346285202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30004799) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30004799) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2011-08-16 |