| NPI | 1245592690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0995361-NP) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY 669) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2020-05-12 |