| NPI | 1407103989 |
|---|---|
| Former Name | MELISSA ALICE MARRION |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2015033047) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2019-03-15 |