NPI | 1366049389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61255006) |
Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: WA RN60658286) |
Enumeration Date | 2020-10-02 |
Last Update Date | 2023-08-08 |