| NPI | 1750895306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO RXN.0103864-NP) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL 9284240) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CO 1636371) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11001715-APRN) | |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2023-03-07 |