| NPI | 1841598422 |
|---|---|
| Former Name | MELISSA B. LINCICOME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH16623) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL IMH5303) |
| 101YP2500X Counselor Professional (Licence: OH E0700904) | |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2023-03-14 |