NPI | 1013204304 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-QWZBDE) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2011-07-07 |
Last Update Date | 2023-08-21 |