NPI | 1508542499 |
---|---|
Former Name | MELLISA ANN ROUNDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: PA SW139726) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 114949-01) |
Enumeration Date | 2023-06-26 |
Last Update Date | 2023-06-26 |