| NPI | 1861816449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60971571) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: WA RN00121290) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2019-08-05 |