| NPI | 1376893958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0991617-NP) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO rn.0163573) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2019-09-26 |