| NPI | 1922628908 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1744R1102X Specialist, Research Study | 
| Additional Taxonomies | 101YP1600X Counselor, Pastoral | 
| 174H00000X Health Educator | |
| 251B00000X Case Management | |
| 374K00000X Religious Nonmedical Practitioner | |
| Enumeration Date | 2020-04-20 | 
| Last Update Date | 2020-04-20 |