NPI | 1770854895 |
---|---|
Former Name | MELISSA K GOCHENOUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1394) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 9575) |
101YM0800X Counselor, Mental Health (Licence: NE 4391) | |
Enumeration Date | 2012-01-20 |
Last Update Date | 2024-03-05 |