NPI | 1710697461 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-FCMOIQ) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2022-12-02 |
Last Update Date | 2024-03-01 |