Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1144713520 |
---|---|
Provider Name | Antoinette Merlet |
First Address | Melbourne, FL 32934-8374 |
Second Address | Melbourne, FL 32934-8374 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2018 |
Last Update Date | 08/02/2021 |