NPI | 1083058283 |
---|---|
Former Name | MELISSA QUINTANA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2013-04-18 |
Last Update Date | 2024-01-30 |