| NPI | 1679258289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA MPSS-FSBGWI) |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2026-07-20 |