| NPI | 1518231646 |
|---|---|
| Former Name | MELANIE KAY ELLIOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK pending) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2023-02-15 |