| NPI | 1124758701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: CA a065481224) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2025-06-25 |