| NPI | 1881303857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10049347) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 202215355) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2025-10-16 |