| NPI | 1265002372 |
|---|---|
| Former Name | MELISSA ANN CORRIVEAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CA 729798) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-06-30 |