| NPI | 1043196124 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 721978)  | 
| Additional Taxonomies | 225400000X Rehabilitation Practitioner | 
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2025-08-13 | 
| Last Update Date | 2025-08-13 |