| NPI | 1700238672 |
|---|---|
| Former Name | MELISSA L MOREAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC6513) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CAC5665) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2021-09-17 |