NPI | 1407308893 |
---|---|
Former Name | MELANIE HITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KS LCPC2697) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MO 2018043701) |
101YP2500X Counselor Professional (Licence: WY LPC-1741) | |
Enumeration Date | 2016-11-01 |
Last Update Date | 2021-06-23 |