| NPI | 1336647437 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR L11710) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR L11710) | 
| Enumeration Date | 2018-01-24 | 
| Last Update Date | 2025-07-23 |