NPI | 1265173769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-QVBJMC) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
172V00000X Community Health Worker | |
Enumeration Date | 2022-04-06 |
Last Update Date | 2024-12-22 |