| NPI | 1982942900 |
|---|---|
| Former Name | MELANIE CRYSTAL O'CONNOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-3172) |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2024-09-02 |