NPI | 1861700510 |
---|---|
Former Name | MELISSA ELIZABETH BARTLOTTI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 73228) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 33406) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2010-09-15 |
Last Update Date | 2017-05-09 |