NPI | 1730657339 |
---|---|
Former Name | MELISSA L QUIST-BIESZKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401018896) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401016529) |
Enumeration Date | 2018-11-13 |
Last Update Date | 2024-01-02 |