NPI | 1639406291 |
---|---|
Former Name | MELISSA LYNN PLOETTNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R072483-1) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 072483-1) |
Enumeration Date | 2009-11-03 |
Last Update Date | 2021-11-17 |