| NPI | 1316275647 |
|---|---|
| Other Name | MELODIE KAY MACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0006389) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001069) |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2019-03-18 |