| NPI | 1073355319 |
|---|---|
| Former Name | MELISSA STEWART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2024-06-08 |
| Last Update Date | 2024-06-27 |