| NPI | 1205107372 |
|---|---|
| Former Name | KATHERINE CHARJEAN KYPRIOTIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 175T00000X Peer Specialist | |
| 175T00000X Peer Specialist (Licence: CA YOEIPVLNUXFSDZGA) | |
| 101Y00000X Counselor | |
| Enumeration Date | 2012-01-22 |
| Last Update Date | 2024-11-27 |