| NPI | 1255830675 |
|---|---|
| Former Name | MELISSA ANNE BONNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WA LH61163843) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CO60801341) |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2024-09-10 |