NPI | 1528222536 |
---|---|
Former Name | STEPHANIE ROSE POINDEXTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
175T00000X Peer Specialist | |
Enumeration Date | 2008-07-18 |
Last Update Date | 2024-06-07 |