NPI | 1144540030 |
---|---|
Former Name | MELISSA C MELLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MA RN260117) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2010-06-02 |
Last Update Date | 2021-02-01 |