| NPI | 1023364536 |
|---|---|
| Former Name | MELISSA MARIA MILES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2013-07-03 |