NPI | 1467891424 |
---|---|
Former Name | MELISSA GLOVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701014687) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 002339) |
101YM0800X Counselor, Mental Health (Licence: CT 002339) | |
101YM0800X Counselor, Mental Health (Licence: NY 005282) | |
Enumeration Date | 2013-06-22 |
Last Update Date | 2025-09-11 |