NPI | 1912285552 |
---|---|
Former Name | MELANIE JOY WHEELER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401011092) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101006409) |
Enumeration Date | 2011-08-01 |
Last Update Date | 2011-08-01 |