NPI | 1265104798 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0998105) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CO 1645857) |
Enumeration Date | 2021-10-03 |
Last Update Date | 2022-12-19 |