| NPI | 1689228751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 20-QMHA-R-0164) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 19-R-20) |
| Enumeration Date | 2019-07-27 |
| Last Update Date | 2025-10-16 |