| NPI | 1225172844 |
|---|---|
| Former Name | MELISSA IANNACONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2008) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME MC10915) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2017-12-22 |