| NPI | 1386293926 |
|---|---|
| Former Name | MELISSA SUE MELTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 12945653-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 16530) |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2022-07-29 |