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 |