| NPI | 1073004164 |
|---|---|
| Former Name | MELODY CRISONYA WARE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0018829) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 85614) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2022-12-12 |