| NPI | 1962001230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA MPSS-SLPGXB) |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2026-06-24 |