| NPI | 1639199235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: CO RXN-0001430-CNS) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 91024) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2018-03-17 |