| NPI | 1598590499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 10020626) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OR 10020626) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10020626) | |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2024-09-03 |