| NPI | 1407190200 |
|---|---|
| Former Name | MELISSA LYNN ENLOE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR A1409130) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2014-09-23 |