| NPI | 1881069185 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR L11678) | 
| Additional Taxonomies | 225400000X Rehabilitation Practitioner | 
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 23-07-30077) | |
| 101YM0800X Counselor, Mental Health (Licence: OR 22-QMHPC-001158) | |
| Enumeration Date | 2015-12-11 | 
| Last Update Date | 2025-09-18 |