| NPI | 1376869578 |
|---|---|
| Former Name | MELISSA M STUPAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC007050) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2020-10-17 |