NPI | 1457493439 |
---|---|
Professional Name | MELISSA IBANEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2656) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1106) |
101YP2500X Counselor, Professional (Licence: NE 1424) | |
Enumeration Date | 2007-02-13 |
Last Update Date | 2023-08-30 |