| NPI | 1427605609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60992356) |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2022-06-02 |