| NPI | 1356726251 |
|---|---|
| Former Name | MADELYN GRACE ESPOSITO-SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 5746 - 125) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2024-03-28 |