NPI | 1174976484 |
---|---|
Former Name | MELISSA BUUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 6093) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 22979) |
Enumeration Date | 2016-07-21 |
Last Update Date | 2022-09-07 |