| NPI | 1578921342 |
|---|---|
| Former Name | MELICIA IVETTE BOSNJAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: SC 7038) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SC 7038) |
| 101YM0800X Counselor Mental Health (Licence: SC 7038) | |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2023-11-21 |