| NPI | 1922591288 |
|---|---|
| Former Name | MELISSA A BROOMHEAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TN 15054) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ME MC23285) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2024-02-28 |