NPI | 1528642097 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-KHRAIN) |
Additional Taxonomies | 172V00000X Community Health Worker (Licence: CA MPSS-KHRAIN) |
Enumeration Date | 2021-05-10 |
Last Update Date | 2024-05-08 |