| NPI | 1083272918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 372600000X Adult Companion (Licence: CA MPSS-4N5QTH) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA MPSS-4N5QTH) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2026-01-29 |