NPI | 1023754462 |
---|---|
Former Name | PREAJHANA ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 172V00000X Community Health Worker |
175T00000X Peer Specialist | |
Enumeration Date | 2022-05-09 |
Last Update Date | 2024-02-22 |