NPI | 1730515735 |
---|---|
Former Name | MELISSA CARMICHAEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1700146) |
Additional Taxonomies | 101Y00000X Counselor |
101Y00000X Counselor (Licence: OH E.1700146) | |
Enumeration Date | 2013-09-23 |
Last Update Date | 2025-01-08 |