NPI | 1053664979 |
---|---|
Former Name | MELISSA K ROYLANCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60318795) |
Enumeration Date | 2012-10-16 |
Last Update Date | 2014-04-11 |