| NPI | 1073069662 |
|---|---|
| Former Name | MELISSA COURTNEY KERN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011584) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P010715) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2019-04-29 |