| NPI | 1063177269 |
|---|---|
| Former Name | MELISSA A CEDILLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OR 21-CRM-470) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR THW000105322) |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2023-10-31 |