| NPI | 1447794011 |
|---|---|
| Former Name | MELISSA NICHOLE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 1447794011) |
| 101YS0200X Counselor, School | |
| 101YS0200X Counselor, School | |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2022-07-21 |