| NPI | 1528429024 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 19-QMHA-I-00948) | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 10-08-30) | 
| Enumeration Date | 2016-03-10 | 
| Last Update Date | 2025-10-09 |