| NPI | 1518370386 |
|---|---|
| Former Name | MELISSA A NICHOLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NH 1723) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NH 1723) |
| 101YM0800X Counselor Mental Health (Licence: NH 1723) | |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |