NPI | 1407618655 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-QAFNLH) |
Additional Taxonomies | 106S00000X Behavior Technician |
172V00000X Community Health Worker | |
225400000X Rehabilitation Practitioner | |
373H00000X Day Training/Habilitation Specialist | |
Enumeration Date | 2024-01-24 |
Last Update Date | 2025-08-22 |