NPI | 1164079570 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: NM 841) |
Additional Taxonomies | 172V00000X Community Health Worker (Licence: NA) |
Enumeration Date | 2019-08-20 |
Last Update Date | 2020-09-03 |