NPI | 1558058602 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 172V00000X Community Health Worker (Licence: CA MPSS-MWLGOS) |
Additional Taxonomies | 175T00000X Peer Specialist |
Enumeration Date | 2023-04-19 |
Last Update Date | 2024-01-11 |