NPI | 1568160984 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-TCKZSE) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
374700000X Technician | |
Enumeration Date | 2023-02-16 |
Last Update Date | 2024-02-28 |