NPI | 1215738505 |
---|---|
Former Name | JASMINA HIGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172V00000X Community Health Worker (Licence: TX 19038) |
Additional Taxonomies | 175T00000X Peer Specialist (Licence: TX 1917-0923) |
Enumeration Date | 2025-03-21 |
Last Update Date | 2025-03-21 |