| NPI | 1891472841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 405300000X Prevention Professional (Licence: NC RTL23-0765) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC RTL23-0765) |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-06-30 |