| NPI | 1083593644 |
|---|---|
| Former Name | MELISSA MARIE PERNICIARO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO6152115) |
| Enumeration Date | 2025-08-28 |
| Last Update Date | 2025-08-28 |