| NPI | 1346574258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1036298) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP70152013) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10045655) | |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2026-10-21 |