| NPI | 1467731356 |
|---|---|
| Former Name | MELISSA DAWN WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY29758) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2023-08-09 |