| NPI | 1790533099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 17954) |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2025-09-18 |