NPI | 1700296126 |
---|---|
Former Name | MELISSA LEOLA DAVIS-HUSSAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
104100000X Social Worker | |
Enumeration Date | 2014-05-07 |
Last Update Date | 2025-05-13 |