NPI | 1790910867 |
---|---|
Former Name | DARRAH MELLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 76312) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2009-05-19 |
Last Update Date | 2017-08-01 |