| NPI | 1811319429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MD 170724) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: GA 2009170) |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2014-01-16 |