| NPI | 1063958791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MD LGP6621) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP1600X Counselor, Pastoral (Licence: MD LGP6621) | |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-01-19 |