| NPI | 1164159232 |
|---|---|
| Former Name | MELISSA S HOUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP61628587) |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2025-07-15 |