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 |