NPI | 1417610130 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 170300000X Genetic Counselor, MS (Licence: WA GT61214734) |
Additional Taxonomies | 170300000X Genetic Counselor, MS (Licence: MA GC625) |
Enumeration Date | 2021-10-19 |
Last Update Date | 2024-06-05 |