| NPI | 1013422807 |
|---|---|
| Former Name | MELANIE BURGESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801106265) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801097953) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2020-01-29 |