| NPI | 1518253111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0998787-NP) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0003592) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2025-01-09 |