| NPI | 1740658178 |
|---|---|
| Former Name | MELISSA BARES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088998-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 096177) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2020-01-29 |