| 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)  | 
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-11-21 | 
| Last Update Date | 2024-11-06 |