NPI | 1104516541 |
---|---|
Former Name | KATHLEEN ANN ARMENTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA cg61445094) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2023-05-09 |
Last Update Date | 2023-11-16 |