| NPI | 1720650542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0022864) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: CO 000000) |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2024-12-22 |