NPI | 1003690819 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-JMASKN) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2023-08-22 |
Last Update Date | 2023-12-08 |