| NPI | 1952720856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0995236) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CO 1664651) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA 61052211) | |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2021-12-08 |