| NPI | 1497586705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 175T00000X Peer Specialist (Licence: CA MPSS-MBQXZL) | |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2026-04-20 |