| NPI | 1639258734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: OR 200550012NP PMHNP PP) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: OR 83037966FNP-PP) |
| 101YM0800X Counselor, Mental Health (Licence: OR 200550012NP) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2015-09-29 |