| NPI | 1447800412 |
|---|---|
| Former Name | MELISSA ANNE OLIVIA CLARE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT141102) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT113382) |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT113382) | |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2023-09-15 |