| NPI | 1174803092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0001798-C-NP) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO LSW.0000000432) |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2024-06-09 |