NPI | 1871952374 |
---|---|
Former Name | MELISSA MARIE SNYDER |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC c011817) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-23571) |
Enumeration Date | 2016-02-12 |
Last Update Date | 2018-12-06 |