| 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 |