| NPI | 1346782117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201807305NP-PP) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 163W00000X Registered Nurse (Licence: OR 201607796rn) | |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2023-03-25 |