| NPI | 1679759146 |
|---|---|
| Former Name | MELINDA LEE PACE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 1628C) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AL 1628C) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2020-12-04 |