NPI | 1225659220 |
---|---|
Former Name | MELISSA ANN FERDMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YP2500X Counselor, Professional (Licence: IL 180.001910) | |
Enumeration Date | 2020-04-30 |
Last Update Date | 2024-06-12 |