NPI | 1275942658 |
---|---|
Former Name | MELISSA ANNE HOELZLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: OH P7447) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH P7447) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-08-11 |
Last Update Date | 2018-04-17 |