| NPI | 1124842067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-GBZWPV) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 225400000X Rehabilitation Practitioner (Licence: CA MPSS-GBZWPV) | |
| Enumeration Date | 2024-11-07 |
| Last Update Date | 2025-01-14 |