| 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 |