NPI | 1306190202 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0998730) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO RN.1659896) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 0011133) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CO 1659896) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CO RN.1659896) | |
101YP2500X Counselor, Professional (Licence: UT 7142009-6004) | |
101YP2500X Counselor, Professional (Licence: WA LH 60290236) | |
101YP2500X Counselor, Professional (Licence: CO 0011133) | |
Enumeration Date | 2012-10-31 |
Last Update Date | 2024-01-03 |