NPI | 1508510546 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95026261) |
Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CA 95170547) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61486087) | |
Enumeration Date | 2022-02-08 |
Last Update Date | 2025-09-11 |