NPI | 1255191359 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA MPSS-BPDWNX) |
Enumeration Date | 2024-03-19 |
Last Update Date | 2024-05-16 |