| NPI | 1316303746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO APN.0999803-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1657266) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO ACB.0007867) | |
| 101YP2500X Counselor Professional (Licence: CO LPC.0012773) | |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2024-06-05 |