NPI | 1174889307 |
---|---|
Former Name | MELISSA DAWN CALHOUN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KY 103106) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2012-04-02 |
Last Update Date | 2019-03-26 |