| NPI | 1922156645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA AP30003045) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA 0367419) |
| 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: WA 0196961) | |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: WA 0186312) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2025-10-24 |