| NPI | 1447306790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201605781NP-PP) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR c2128) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2016-08-04 |