| NPI | 1801300165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60783134) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA AP60783134) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: WA AP60783134) | |
| Enumeration Date | 2017-11-24 |
| Last Update Date | 2022-03-04 |