| NPI | 1215305677 |
|---|---|
| Former Name | MELANIE RENE SOSINSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC16570) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC6109) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2020-08-13 |