| NPI | 1962212407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 24-QMHA-R-6315) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OR 24-QMHA-R-6315) |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2025-01-08 |