| NPI | 1578904868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc03641) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 014554) |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0013921) | |
| 163W00000X Registered Nurse (Licence: CO RN-191388) | |
| 163W00000X Registered Nurse (Licence: MN 85631-9) | |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2025-04-04 |