NPI | 1679109698 |
---|---|
Former Name | MELANIE JOAN LOMBARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 81277) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 81277) |
Enumeration Date | 2020-03-21 |
Last Update Date | 2024-05-13 |