NPI | 1205107372 |
---|---|
Former Name | KATHERINE CHARJEAN KYPRIOTIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-GAS5NL) |
Additional Taxonomies | 101Y00000X Counselor |
172V00000X Community Health Worker | |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2012-01-22 |
Last Update Date | 2025-07-10 |