| NPI | 1164050464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101Y00000X Counselor |
| 175T00000X Peer Specialist (Licence: CA MPSS-TWYMRF) | |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2025-04-08 |