NPI | 1255570743 |
---|---|
Former Name | MELISSA MIHALICK NAKANISHI JOHNSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 196228III) |
Enumeration Date | 2009-02-06 |
Last Update Date | 2023-02-09 |