NPI | 1942594700 |
---|---|
Former Name | MELANIE K STEWART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 12066) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 4605) |
Enumeration Date | 2011-06-08 |
Last Update Date | 2011-06-08 |