NPI | 1457482994 |
---|---|
Former Name | MELANIE LYNNE HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: SC PSY.1685) |
Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: GA PSY002913) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2023-05-23 |