| NPI | 1346866811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA 61663934) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2025-02-24 |