| NPI | 1295578029 |
|---|---|
| Former Name | MELISSA SIMUNDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ND 639) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MN LP6649) |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-08-09 |