| NPI | 1356330765 |
|---|---|
| Former Name | SANDRA MELCHIONNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH8391) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH8391) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2012-07-24 |