| NPI | 1659110948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP70055481) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WA RN60077129) |
| Enumeration Date | 2024-05-24 |
| Last Update Date | 2025-10-28 |