| NPI | 1346765245 |
|---|---|
| Former Name | MELISSA MARIE RUDIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0015820) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA LH60992706) |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2023-05-09 |