| NPI | 1821332768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA RN60588645) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60589959) | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2023-12-01 |