| 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 | 2025-11-03 |