NPI | 1003567892 |
---|---|
Former Name | SANDRA AURORA AREVALO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-PKEDNL) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2022-01-12 |
Last Update Date | 2024-11-05 |