NPI | 1447639315 |
---|---|
Former Name | MELISSA ANN HENRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2015-05-26 |
Last Update Date | 2020-03-28 |