| NPI | 1548007842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP70056498) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11042829) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10042359) | |
| Enumeration Date | 2024-07-12 |
| Last Update Date | 2025-11-02 |