| NPI | 1043767080 |
|---|---|
| Former Name | MELISSA SUE BAUERMEISTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35001911A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 35001911A) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2021-03-15 |