NPI | 1306225503 |
---|---|
Former Name | MELISSA WURSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C5253) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C5253) |
Enumeration Date | 2015-05-21 |
Last Update Date | 2024-10-28 |