| NPI | 1972800100 |
|---|---|
| Former Name | MELISSA ANN HEMMESTAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPCMH2238) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SD LPCMH2238) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SD LAC07111332) | |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2018-08-31 |