| NPI | 1285970509 |
|---|---|
| Former Name | MELANIE BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0718000257) |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2016-06-09 |