NPI | 1124690888 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-KAQBSG) |
Additional Taxonomies | 106S00000X Behavior Technician |
172V00000X Community Health Worker | |
Enumeration Date | 2021-07-13 |
Last Update Date | 2024-02-16 |