NPI | 1154788644 |
---|---|
Former Name | MELANIE MCKEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 5219) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA LPC 5297) |
Enumeration Date | 2016-01-28 |
Last Update Date | 2023-06-19 |