NPI | 1841847787 |
---|---|
Former Name | MELISSA NICOLE WRIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 9902119) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ND 01216) |
Enumeration Date | 2019-08-26 |
Last Update Date | 2019-08-26 |