| NPI | 1649502683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA N361223674) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: OR 15353) |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2021-09-24 |