NPI | 1497226492 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-WXYJAV) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
172V00000X Community Health Worker (Licence: CA 172V00000X) | |
Enumeration Date | 2018-12-17 |
Last Update Date | 2023-08-16 |