| NPI | 1225787096 |
|---|---|
| Former Name | CORRISHA SHANEE CALVERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2023-12-20 |