| NPI | 1407929383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60585209) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2023-07-17 |