NPI | 1306576764 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-EMSKDG) |
Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA CAFPET012618-7) |
Enumeration Date | 2022-06-16 |
Last Update Date | 2023-03-01 |