| NPI | 1689705436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA MFC 49031) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA IMF48060) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2012-01-09 |