| NPI | 1962814780 |
|---|---|
| Former Name | MELISSA KAUFMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health (Licence: WI 6115-125) | |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2019-02-27 |