| NPI | 1770853723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 7388) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2024-12-30 |