| NPI | 1215135652 |
|---|---|
| Former Name | MELISSA LYN REPSHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE 01-0001198) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 05896) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2013-11-18 |