NPI | 1750518429 |
---|---|
Former Name | MELISSA CYR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC12465) |
Additional Taxonomies | 104100000X Social Worker (Licence: ME MC11383) |
1041C0700X Social Worker, Clinical (Licence: ME MC11383) | |
Enumeration Date | 2009-06-19 |
Last Update Date | 2013-12-23 |