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 | 2024-10-11 |