NPI | 1205107372 |
---|---|
Former Name | KATHERINE CHARJEAN KYPRIOTIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA YOEIPVLNUXFSDZGA) |
Additional Taxonomies | 175T00000X Peer Specialist |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2012-01-22 |
Last Update Date | 2024-05-28 |