| NPI | 1801449301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202006868NP-PP) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 201142770RN) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2020-08-05 |