| NPI | 1912285180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201701615NP) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 201141413RN) |
| 163W00000X Registered Nurse (Licence: CA 851920) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95002868) | |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2024-03-05 |