NPI | 1366282626 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-MJVXQO) |
Additional Taxonomies | 172V00000X Community Health Worker |
373H00000X Day Training/Habilitation Specialist | |
Enumeration Date | 2024-05-25 |
Last Update Date | 2025-08-05 |