| NPI | 1194370775 |
|---|---|
| Former Name | MELISSA SUE CARPENTER |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2021-04-21 |