| NPI | 1003467507 |
|---|---|
| Former Name | MELODY ANNA BANKERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 13946) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925890) |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2024-08-07 |