NPI | 1174139174 |
---|---|
Former Name | MELANIE CHRISTINE WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW009213) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA CSW009213) |
1041C0700X Social Worker, Clinical (Licence: SC 16812) | |
Enumeration Date | 2020-09-16 |
Last Update Date | 2025-08-28 |