NPI | 1578094280 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA E1540271) |
172V00000X Community Health Worker (Licence: CA E1540271) | |
Enumeration Date | 2017-03-23 |
Last Update Date | 2023-10-06 |