| NPI | 1962665331 |
|---|---|
| Former Name | MELISSA FATIMA PUCCIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60143370) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60013965) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH60088360) | |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2019-02-21 |