| NPI | 1780003681 |
|---|---|
| Former Name | MELISSA ANNE MATTHEWS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA LPCC922) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH E-0002989) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-04-08 |