| NPI | 1215221304 |
|---|---|
| Former Name | MELANIE SHARON FARKAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS01539) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 9342) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2022-07-21 |