| NPI | 1275286031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 25-QMHA-I-004944) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-24-4321) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2025-10-15 |