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 |