| NPI | 1255047171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR A14457) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 23-QMHP-R-2248) |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2025-04-17 |