| 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 |