| NPI | 1215294301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: LPC-6034) |
| Additional Taxonomies | 374T00000X Religious Nonmedical Nursing Personnel (Licence: CO RN-117289) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2018-07-20 |