| NPI | 1639799570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61335535) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: WA RN60866357) |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2022-07-28 |