| NPI | 1558490441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201391588NP-PP) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L3975) |
| 163W00000X Registered Nurse (Licence: OR 201142799RN) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2016-10-24 |