| NPI | 1831737246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 1831737246) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 163W00000X Registered Nurse (Licence: OR 200743391RN) | |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2023-06-07 |