| NPI | 1619029170 |
|---|---|
| Former Name | MELISSA ANN O'DONNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924616) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2022-05-04 |