| NPI | 1972909836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: CO NA.00712772) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO MI.0004590) |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2017-02-16 |