| NPI | 1982955738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0997411.NP) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 5892) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2022-06-08 |