| NPI | 1497253488 |
|---|---|
| Former Name | MELISSA KENNIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC015558) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2025-07-24 |