NPI | 1982971685 |
---|---|
Former Name | MELODY ANN MILLER-BEZEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 008631) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NY 008631) |
101Y00000X Counselor | |
Enumeration Date | 2011-11-23 |
Last Update Date | 2023-12-02 |