| NPI | 1164897716 |
|---|---|
| Former Name | MELANIE CODERRE DESROSIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY Limited Permit) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 008533-01) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2022-01-19 |