NPI | 1487660452 |
---|---|
Former Name | MELISSA RAE RANNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361006816) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301010663) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2021-04-24 |