NPI | 1508597113 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-FLYGKX) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2022-06-23 |
Last Update Date | 2024-03-01 |