NPI | 1053012112 |
---|---|
Other Name | REI EDQUIBAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-AFLSMU) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2023-03-15 |
Last Update Date | 2025-03-13 |