| NPI | 1679362016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95034879) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA ARNP.AP.70076623-NP) |
| Enumeration Date | 2025-05-02 |
| Last Update Date | 2026-03-18 |