| NPI | 1922417997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10058847) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 200843309) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CO 0182705) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 678431) | |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2026-04-20 |