| NPI | 1992740724 |
|---|---|
| Former Name | MELISSA HERRON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 720) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 3169) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2020-01-22 |