| NPI | 1639936883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 25-QMHP-R-3862) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OR 24-QMHA-I-004774) |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2025-10-02 |