| NPI | 1548042658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 18130) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 101YP2500X Counselor, Professional | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2024-12-03 |