| NPI | 1245657071 |
|---|---|
| Former Name | MARISA JAFFE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2013030600) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701005319) |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2014-10-21 |