| NPI | 1588483838 | 
|---|---|
| Former Name | MELISSA BARRY | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Additional Taxonomies | 101Y00000X Counselor | 
| 251B00000X Case Management | |
| Enumeration Date | 2024-10-04 | 
| Last Update Date | 2024-11-14 |