| NPI | 1033867809 |
|---|---|
| Former Name | MELISSA SUE STEWART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2022-06-21 |