| NPI | 1043504541 |
|---|---|
| Former Name | MELANIE LYNN WICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101000106) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146-009660) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2021-10-08 |