| NPI | 1225976475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CO 0175321) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 1002066.NP) |
| Enumeration Date | 2026-03-21 |
| Last Update Date | 2026-08-12 |