| NPI | 1306617220 |
|---|---|
| Former Name | MELISSA JEAN KITCHEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV AP00943657) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S1000339) |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2024-01-10 |