NPI | 1790550952 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-SYXZTP) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2023-11-17 |
Last Update Date | 2024-06-26 |