| NPI | 1639707516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61324644) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9495560) |
| 101YM0800X Counselor, Mental Health | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11015622) | |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2024-03-25 |