NPI | 1790926301 |
---|---|
Former Name | MELANIE LAURYN CARR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101Y00000X Counselor (Licence: AR A1209083) |
Enumeration Date | 2009-03-11 |
Last Update Date | 2018-05-09 |