| 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 |