| NPI | 1225637572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO RN.1619084) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPC.0013389) |
| 101Y00000X Counselor (Licence: MO 2016030203) | |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |