| NPI | 1972985141 |
|---|---|
| Former Name | MELISSA LAWRENCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925713) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM X-09157) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2019-12-04 |