| NPI | 1790848778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61232758) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00007993) |
| 163W00000X Registered Nurse (Licence: WA RN60868206) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2024-01-10 |