NPI | 1558798884 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 374K00000X Religious Nonmedical Practitioner (Licence: NY F337884-1) |
Additional Taxonomies | 374K00000X Religious Nonmedical Practitioner (Licence: NY 519747-1) |
Enumeration Date | 2013-10-01 |
Last Update Date | 2013-10-01 |