| NPI | 1588551899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10044429) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: ID 58754) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 10044429) | |
| Enumeration Date | 2025-06-19 |
| Last Update Date | 2025-08-25 |