NPI | 1366706145 |
---|---|
Former Name | MELISSA LINQUIST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS LCPC 2511) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS LPC 2539) |
Enumeration Date | 2012-06-27 |
Last Update Date | 2023-12-13 |