| NPI | 1699049031 |
|---|---|
| Former Name | REBECCA MELLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC010200) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC010200) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2024-03-07 |