| NPI | 1518475854 |
|---|---|
| Former Name | MELISSA MARY ANN MOXLOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AK 118139) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AK 118139) |
| 101YM0800X Counselor, Mental Health (Licence: 118139) | |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2021-12-09 |