| NPI | 1902131352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR QMHPC-001646) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health (Licence: WY LPC-1293) | |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2025-10-28 |