| NPI | 1063651396 |
|---|---|
| Former Name | MELISSA ROSE TROVATO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CA A109700) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2018-02-22 |