| NPI | 1871051730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61105524) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AL 1-171615) |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2024-04-04 |