| NPI | 1528527017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61397829) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-166474) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5014202) | |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2023-03-27 |