| NPI | 1982939344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: CA IMF64182) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF64182) |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2015-01-13 |