| NPI | 1053643403 |
|---|---|
| Former Name | MELANIE STRAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15420-130) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 7723) |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2020-04-14 |