| NPI | 1417814245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374K00000X Religious Nonmedical Practitioner |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 101200000X Drama Therapist | |
| 347C00000X Private Vehicle | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2026-01-05 |
| Last Update Date | 2026-01-05 |