| NPI | 1881195527 |
|---|---|
| Former Name | MELISSA NICOLE BRUBAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 14889) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 172V00000X Community Health Worker | |
| 174H00000X Health Educator | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2023-10-16 |