NPI | 1336329119 |
---|---|
Former Name | MELANIE DORI MARION |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI 3948) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA RC00050599) |
1041C0700X Social Worker, Clinical (Licence: WA LW60125884) | |
Enumeration Date | 2007-11-08 |
Last Update Date | 2016-12-12 |