| NPI | 1043883861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: NA) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA MPSS-LVIOAF) |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2025-06-18 |