| NPI | 1912374034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201907881NP-PP) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 201405166RN) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2023-09-15 |