| NPI | 1710764865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-YUDWQN) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2026-10-07 |