NPI | 1043514664 |
---|---|
Former Name | DONNA RENE GOSSAGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-JU85TT) |
Additional Taxonomies | 172V00000X Community Health Worker |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2010-12-23 |
Last Update Date | 2025-04-30 |