NPI | 1922576966 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.1001174-NP) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 18-71835) |
103K00000X Behavior Analyst (Licence: CA 21-55229) | |
Enumeration Date | 2018-11-07 |
Last Update Date | 2025-10-01 |