| NPI | 1700417938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61603038) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 163W00000X Registered Nurse (Licence: WA RN61208688) | |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2024-11-18 |