| NPI | 1427342732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 64752) |
| Additional Taxonomies | 101Y00000X Counselor |
| 163W00000X Registered Nurse (Licence: OR 201807823RN) | |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2022-06-24 |