NPI | 1174773337 |
---|---|
Former Name | MELISSA MARGARET HAINES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05751400) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 074263-1) |
Enumeration Date | 2008-09-24 |
Last Update Date | 2020-04-01 |