NPI | 1326738675 |
---|---|
Former Name | MELISSA VANDERMOST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC18277) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC9026) |
Enumeration Date | 2023-05-10 |
Last Update Date | 2025-01-06 |