| NPI | 1326601287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0999317-NP) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 163W00000X Registered Nurse (Licence: CO RN.1693366) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2361959) | |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2023-11-17 |