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 |