| NPI | 1306361209 |
|---|---|
| Former Name | MELISSA ANN ELIZABETH WATKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2023-06-27 |