NPI | 1871303057 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: OR 113055) |
Additional Taxonomies | 172V00000X Community Health Worker (Licence: OR 113055) |
Enumeration Date | 2025-01-10 |
Last Update Date | 2025-06-20 |