| 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 |