NPI | 1417657248 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-LFTQKR) |
Additional Taxonomies | 172V00000X Community Health Worker (Licence: CA MPSS-LFTQKR) |
Enumeration Date | 2023-03-09 |
Last Update Date | 2023-06-27 |