| NPI | 1063901296 |
|---|---|
| Former Name | MELISSA L FOUHY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 8745) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 008745) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-11-14 |