| NPI | 1871514539 |
|---|---|
| Professional Name | RESA LYNN MALLETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 194) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 84) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2012-08-01 |