| NPI | 1023415965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0999596) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 14397) |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2024-10-23 |