| NPI | 1972092658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374K00000X Religious Nonmedical Practitioner |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO NLC.0004693) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |