NPI | 1023670049 |
---|---|
Former Name | MICHELLE JARVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174H00000X Health Educator (Licence: WI 1590004908) |
Additional Taxonomies | 175T00000X Peer Specialist |
Enumeration Date | 2019-06-29 |
Last Update Date | 2019-06-29 |