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