NPI | 1790040525 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 170300000X Genetic Counselor, MS (Licence: NJ 25MJ00018900) |
Additional Taxonomies | 170300000X Genetic Counselor, MS (Licence: DE GC-0000032) |
Enumeration Date | 2012-07-09 |
Last Update Date | 2021-04-12 |