| NPI | 1013358209 |
|---|---|
| Former Name | SARA A MELICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 6801104113) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801095583) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2024-02-02 |