NPI | 1710257068 |
---|---|
Former Name | MELINDA MAY HOLLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 101164) |
172V00000X Community Health Worker | |
Enumeration Date | 2012-01-04 |
Last Update Date | 2024-03-07 |