NPI | 1598599425 |
---|---|
Former Name | COURTNEY BRIANNE STEWARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA MPSS-FNMRGL) |
172V00000X Community Health Worker (Licence: CA MPSS-FNMRGL) | |
Enumeration Date | 2024-09-02 |
Last Update Date | 2025-04-11 |