| NPI | 1285288639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO APN.0998539) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CO LPC.0018311) |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2023-09-10 |