NPI | 1407183056 |
---|---|
Former Name | LYNN SARAH MELOY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 8015) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 5517) |
Enumeration Date | 2009-11-03 |
Last Update Date | 2020-02-03 |