NPI | 1144038753 |
---|---|
Other Name | SHAMON CAMPOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-OVJZPH) |
Additional Taxonomies | 172V00000X Community Health Worker |
225400000X Rehabilitation Practitioner | |
251S00000X Community/Behavioral Health | |
Enumeration Date | 2024-12-28 |
Last Update Date | 2025-07-16 |