| NPI | 1275266967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 22-QMHA-R-2592) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 25-05-11471) |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2025-12-09 |