| NPI | 1992275556 |
|---|---|
| Former Name | MELISSA MARIE COLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 20281) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW85371) |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2024-01-31 |