NPI | 1235693383 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 170300000X Genetic Counselor, MS (Licence: MI 4703099353) |
Additional Taxonomies | 253J00000X Foster Care Agency (Licence: MI AS820385058) |
Enumeration Date | 2019-01-23 |
Last Update Date | 2019-01-23 |