| NPI | 1639784853 |
|---|---|
| Former Name | MAXINE DEMOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2023-02-16 |