NPI | 1891083184 |
---|---|
Former Name | MELANI B GREGORY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0018426) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 0129441) |
101YP2500X Counselor, Professional (Licence: OR C4835) | |
Enumeration Date | 2011-07-20 |
Last Update Date | 2023-12-21 |