NPI | 1700368784 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-RVAMEO) |
Additional Taxonomies | 172V00000X Community Health Worker |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2018-09-05 |
Last Update Date | 2023-10-19 |