| NPI | 1407154404 |
|---|---|
| Former Name | MELISSA FAKULT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401011043) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MI 236547) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2013-10-15 |