| NPI | 1124168265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 119357) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 774) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2009-08-19 |