| NPI | 1467995316 |
|---|---|
| Former Name | MELISSA JOHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 118668) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2016-11-27 |
| Last Update Date | 2021-11-18 |