| NPI | 1639881485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.1000609-NP) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX 960136) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CO RN.1702001) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1101431) | |
| Enumeration Date | 2022-12-22 |
| Last Update Date | 2025-05-27 |