| NPI | 1174956635 |
|---|---|
| Former Name | MARIA A MELENDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15431-134) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15585-132) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2017-03-17 |