| NPI | 1841338324 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR ATR-BC 01-083) | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 04-03-24) | 
| Enumeration Date | 2007-02-05 | 
| Last Update Date | 2025-09-11 |