| NPI | 1912410705 |
|---|---|
| Former Name | MELANIE PANKEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.194460) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2026-03-06 |