NPI | 1285288639 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0998539) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0018311) |
Enumeration Date | 2019-07-24 |
Last Update Date | 2024-10-11 |