| NPI | 1366799215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61583998) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60691232) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA RN61207537) | |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2024-08-12 |