| NPI | 1972928034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201401611NP-PP) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: OR 201401611NP-PP) |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: OR 200741772rn) | |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2021-02-22 |