| NPI | 1942573969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60909283) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: WA RN 60203300) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2023-07-26 |