| NPI | 1528518123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 106142) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171M00000X Case Manager/Care Coordinator | |
| 225700000X Massage Therapist (Licence: CA 71458) | |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2023-05-08 |