| NPI | 1285066464 |
|---|---|
| Former Name | MELISSA WATERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2022032993) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.009329) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2022-09-16 |