| NPI | 1770157836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61477341) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60502306) |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2023-09-25 |