| NPI | 1639553563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201507345RN) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 24-QMHP-R-2536) |
| 163W00000X Registered Nurse (Licence: WA RN60589243) | |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2024-01-11 |