| NPI | 1598720807 |
|---|---|
| Former Name | MARYSUE CARLETTA RANDO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 2986) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2022-05-05 |