NPI | 1316303746 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/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 |