| NPI | 1679944482 |
|---|---|
| Former Name | MELISSA MANTHEI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MI 6801098502) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MI 6801098502) |
| 1041C0700X Social Worker Clinical (Licence: MI 6801098502) | |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-10-20 |