NPI | 1710165618 |
---|---|
Former Name | MELISSA MARIE MASI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 118294) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 213249) |
Enumeration Date | 2008-02-04 |
Last Update Date | 2015-09-01 |