| NPI | 1558131250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61590066) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA W61235857) |
| 163W00000X Registered Nurse (Licence: WA RN61208751) | |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2024-12-27 |