NPI | 1114477023 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-HADTIZ) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 258534) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2016-10-04 |
Last Update Date | 2023-06-30 |