| NPI | 1306195011 |
|---|---|
| Former Name | CLARA CORRINA HUCKINS MATES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA Cg60329346) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2021-06-04 |