NPI | 1144693243 |
---|---|
Former Name | MELISSA KINCHES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 81114) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH F.2100209) |
221700000X Art Therapist (Licence: 18-471) | |
Enumeration Date | 2015-11-11 |
Last Update Date | 2022-10-19 |