| NPI | 1801687850 |
|---|---|
| Other Name | NA NA NA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 323625) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA ARNP.AP.70019039-NP) |
| Enumeration Date | 2025-05-16 |
| Last Update Date | 2025-09-09 |