| NPI | 1225484280 |
|---|---|
| Former Name | MELISSA MELAMUD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WV 1293) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2022-08-11 |