NPI | 1497210843 |
---|---|
Former Name | MELISSA AVANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701008469) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101Y00000X Counselor | |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710103231) | |
221700000X Art Therapist (Licence: VA 18-017) | |
Enumeration Date | 2019-02-08 |
Last Update Date | 2024-04-24 |