NPI | 1578344370 |
---|---|
Former Name | LATASHA FLOYD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 405300000X Prevention Professional (Licence: TX 1270112) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2023-10-09 |
Last Update Date | 2023-10-09 |