| NPI | 1720456213 |
|---|---|
| Former Name | MELANIE MARTINICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL 8724) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL C2458A) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2020-11-24 |