| NPI | 1013246495 |
|---|---|
| Former Name | MELISSA L THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY26316) |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2022-06-13 |