NPI | 1447014477 |
---|---|
Former Name | ALYCIA DOMENIQUE MEJIA-EARL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2024-02-09 |
Last Update Date | 2024-07-29 |