| NPI | 1639623846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.1000667-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO Rn.1635833) |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2025-03-30 |