| NPI | 1700420270 |
|---|---|
| Former Name | MARLYN ROSADO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 374700000X Technician |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-10-29 |