| NPI | 1386987097 |
|---|---|
| Former Name | MELISSA KATHLEEN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61487630) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NH 99534) |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2023-09-20 |