| NPI | 1225659220 |
|---|---|
| Former Name | MELISSA ANN FERDMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.001910) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2024-01-16 |