| NPI | 1972724524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP60786825) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LH00010797) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2021-01-18 |