| NPI | 1891184578 |
|---|---|
| Former Name | MELANIE ACOSTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1306102024) |
| Enumeration Date | 2015-01-17 |
| Last Update Date | 2024-07-16 |