| NPI | 1306436142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0997712-NP) |
| Additional Taxonomies | 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: CO 1620260) |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2025-04-04 |