| NPI | 1245357961 |
|---|---|
| Former Name | MELISSA ANN COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC3466) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME XL3111) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2019-07-08 |