| NPI | 1780974162 |
|---|---|
| Former Name | MELISSA DZIENGIELEWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 11154) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2022-12-22 |