NPI | 1396408969 |
---|---|
Former Name | MELISSA ANN ROSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2021-10-20 |
Last Update Date | 2021-10-20 |