NPI | 1811252554 |
---|---|
Other Name | MELINDA K GREENBANK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-14161) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AZ LAMFT-10349) |
Enumeration Date | 2012-07-09 |
Last Update Date | 2017-04-23 |