NPI | 1184809303 |
---|---|
Former Name | MELANIE BETH RUDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW-74405) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2008-01-07 |
Last Update Date | 2024-12-05 |