| NPI | 1861458796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30005296) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA AP30005296) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA RN0005818) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: WA RN0005818) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2010-03-17 |