| NPI | 1194497107 |
|---|---|
| Former Name | MELISSA MOJICA CRUZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P016774) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-27346) |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2022-07-13 |