| NPI | 1184138505 |
|---|---|
| Former Name | MELISSA MARIE YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801096528) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI C-03022) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2020-09-17 |