| NPI | 1518216449 |
|---|---|
| Former Name | MELISSA BROOKE AGERTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL 3041) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 3041) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2024-01-22 |