NPI | 1144504960 |
---|---|
Former Name | MELISSA LYNN ROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TS0200X Psychologist, School (Licence: VA PPS-0606403) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2011-09-29 |
Last Update Date | 2024-01-31 |