| NPI | 1417393349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0991346-NP) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACB7193) |
| 163W00000X Registered Nurse (Licence: CO 102626) | |
| Enumeration Date | 2013-05-19 |
| Last Update Date | 2015-01-30 |