| NPI | 1326437435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM CNP71268) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO MT0016802) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2023-08-31 |