| NPI | 1972245447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO CSW.09927095) |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2022-05-17 |