| NPI | 1134718620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 26-QMHPC-001799) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-26-6688) |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2026-06-04 |