NPI | 1609482215 |
---|---|
Former Name | ANN MELIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: VT 068.0134258) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068.0134258) |
Enumeration Date | 2020-09-18 |
Last Update Date | 2023-12-08 |