| NPI | 1396300984 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP95032544) | 
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA RN60557508) | 
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60966586) | |
| Enumeration Date | 2019-05-08 | 
| Last Update Date | 2025-06-13 |