| NPI | 1447660741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201391578RN) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 201391578RN) | |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2014-07-28 |