| NPI | 1740606219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP70026052) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61331634) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW60273578) | |
| Enumeration Date | 2014-03-08 |
| Last Update Date | 2025-11-17 |