NPI | 1104600592 |
---|---|
Other Name | BECKY WELBORN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: IN CAPRC2-5198) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2023-08-24 |
Last Update Date | 2023-08-24 |