| NPI | 1760533210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0992289-NP) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AK 353) |
| 101YP2500X Counselor, Professional (Licence: CO 6561) | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2017-02-02 |