| NPI | 1871896340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 2257) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 130089) |
| 363L00000X Nurse Practitioner (Licence: CO 5457) | |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2022-01-18 |