NPI | 1316066400 |
---|---|
Former Name | MELISSA JAMES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY23879) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071-007666) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2014-09-22 |