NPI | 1134751662 |
---|---|
Former Name | MELINDA SUSAN BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2204071-TRNE) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII162261) |
Enumeration Date | 2020-02-12 |
Last Update Date | 2022-08-19 |