NPI | 1083081749 |
---|---|
Former Name | MELINDA ADRIENN SCOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 6533) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OK 6533) |
101YP2500X Counselor, Professional (Licence: OK 6533) | |
Enumeration Date | 2015-08-28 |
Last Update Date | 2023-11-05 |