NPI | 1306550546 |
---|---|
Former Name | STEVONNA DEE GORDON-STROUGHTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2023-01-12 |
Last Update Date | 2023-11-30 |