| NPI | 1235605635 |
|---|---|
| Former Name | MELANIE KATHERINE WALTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 167848) |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2023-01-11 |