| NPI | 1477163525 |
|---|---|
| Former Name | MELISA ANN YATES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC P014664) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 26333) |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |