| NPI | 1932705027 |
|---|---|
| Former Name | MELINDA HITCHCOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20197) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH19192) |
| Enumeration Date | 2020-12-05 |
| Last Update Date | 2023-01-18 |