| NPI | 1891857181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP61002886) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WA LW00009144) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2024-05-10 |