| NPI | 1366467235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 442) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103T00000X Psychologist (Licence: WI 1831-057) | |
| 103TF0000X Psychologist, Family (Licence: WI 1838-057) | |
| 103TH0100X Psychologist, Health Service (Licence: WI 1831-057) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: WI 442-033) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2021-09-13 |