| NPI | 1487197836 |
|---|---|
| Former Name | JESSICA MELILLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 79844) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00600400) |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2024-02-29 |