| NPI | 1245520543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator (Licence: PA 16122) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA 16122) | |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2011-04-08 |