NPI | 1245705557 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-RCBDHM) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
106S00000X Behavior Technician | |
172V00000X Community Health Worker | |
Enumeration Date | 2018-10-12 |
Last Update Date | 2024-04-22 |