| NPI | 1336030386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA mpss-xdaiyc) |
| Enumeration Date | 2025-07-09 |
| Last Update Date | 2025-10-28 |