NPI | 1093008419 |
---|---|
Former Name | CHRISTINA LYNNE MELENDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0134388) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VT 097.0134570) |
Enumeration Date | 2011-05-18 |
Last Update Date | 2021-12-06 |