| NPI | 1457702763 |
|---|---|
| Former Name | KANDIS MAY PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2019-01-07 |