NPI | 1013247519 |
---|---|
Former Name | MELISSA S. NOLAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C 0800169) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.0800169-SUPV) |
Enumeration Date | 2010-01-05 |
Last Update Date | 2023-09-28 |