| NPI | 1538845573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61481905) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1125746) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: CO C-APN.0103934-C-NP) | |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2025-09-18 |