| NPI | 1619820610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-BDZVPX) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2026-02-18 |
| Last Update Date | 2026-08-26 |