| NPI | 1205560562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 101YP1600X Counselor Pastoral (Licence: NJ 222425578) |
| 174H00000X Health Educator | |
| 374K00000X Religious Nonmedical Practitioner | |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2022-07-13 |