| NPI | 1689945438 |
|---|---|
| Former Name | MELODIE HAMMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000402) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 00723) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |