| NPI | 1619768496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA MPSS-FQAMBOO) |
| Enumeration Date | 2025-05-13 |
| Last Update Date | 2026-04-27 |